Brief Answer:
These symptoms are occurring due to social anxiety disorder.

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern XXXXXXX The symptoms you have mentioned suggest some anxiety disorder more specifically social anxiety disorder. Though most of us feel some difficulties in speaking and understanding the English language but we have to accept that this is not our mother tongue so even if one is weak in English this doesn't mean that this is a thing that can make anyone inferior.

But in your query you have written correct English so more likely the problem is in confidence. The lack of confidence is most probably due to social anxiety symptoms. You have also mentioned that you can't ask question in class and develop anxiety symptoms when you have to ask a question. This is one of important feature of social anxiety disorder.

The problem of poor concentration is also occurring due to anxiety. In my opinion there is nothing wrong in your memory but due to distraction you are not able to focus on things that need focus. Anxiety cause distraction, lack of focus, lack of concentration and all these result in poor grasping and understanding in class.

In my opinion for these symptoms you should urgently see a psychiatrist. For the anxiety symptoms especially related to social situations medicines of SSRI group are used commonly. Escitalopram, Citalopram, Fluoxetine etc are commonly used medicines. If these medicines are used regularly then this will result in improvement of your symptoms with time. For relief of severe anxiety during anxiety provoking situations (group discussions, or some presentations) medicines like Propranolol can be used. The medicine if taken about half to one hour before any presentation result in improvement of symptoms and will reduce the anxiety. This will improve the confidence also. Use of SSRIs will help to regain the focus. Visit a psychiatrist for prescription of these drugs.

So please don't remain distressed, you are good in English and just because of social anxiety these symptoms are occurring. With proper medicines you will come out of these anxieties.

Thanks, Hope this helps. Please don't hesitate to ask again for more doubts.

Take care

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Brief Answer:
Social anxiety disorder results in poor concentration.

Detailed Answer:
Hello again, Thanks for asking a follow up question

First of all I would like to elaborate Social Anxiety Disorder. This is a type of anxiety that is seen in certain situations where individual is expected to speak like in presentation or in group discussions. Fear that what others would think about you, persistent lack of confidence etc result in loss of significant time in thinking about anxiety and this results in feelings of embarrassment. All these symptoms result in poor focus, lack of concentration and this cause individuals to concentrate on the things that should be ignored and the things that should be given attention are ignored. This causes feelings like memory is losing. So most of the symptoms you are having stem from social anxiety.

Now coming to treatment part. Treatment of this social anxiety disorder is must to get complete recovery. Medicines like SSRIs as I have mentioned if taken on regular basis result in improvement in most of individuals in about 4-6 weeks. The medicines should be continued for at least 6-12 months post recovery of symptoms. This will help in best results. For very anxiety provoking situations like presentation or in group discussions medicines like Propranolol can be used. The medicine can be used on SOS basis about half to one hour before event. This medicine help to reduce the acute symptoms of anxiety in most of individuals in about half hour.

Taking proper treatment of these symptoms will result in reduction of anxiety and then you will see drastic improvement in your symptoms. Please don't waste your time and visit a psychiatrist for help.

Thanks, Hope this helps you. Take care

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Brief Answer:
The symptoms are due to social anxiety.

Detailed Answer:
Hello again and thanks for asking a follow up

The problems in communicating with girls is also occurring due to social anxiety disorder only. But please don't remain distressed with this. The disease is fully curable and you have to take medicinal treatment for some time only. Once you are stabilised then relaxation exercises will help in maintaining the anxiety free state. So please remain relaxed and confident. The problem is fully curable.

The anti anxiety medicines I have mentioned will help in reducing the anxiety and this will also help in improving the focus. This will improve the memory. The medicines I have mentioned are free of serious side effects. The are safe if used properly. Nausea, diarrhoea, restlessness, sedation, dizziness etc are common side effects. In very high doses sexual dysfunction can occur but the side effect is fully reversible. So the medicines are safe to use.

Currently I am out of XXXXXXX and is practicing at XXXXXXX so I am sorry but I will not available for consultation at XXXXXXX In NCR you can visit Puspanjali Crosslay, XXXXXXX for psychiatric consultation. XXXXXXX GB Pant Hospital both have good psychiatrists at XXXXXXX You can visit either of these places.

Thanks, Still have more doubts please ask again.

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Brief Answer:
Practice to speak english again and again.

Detailed Answer:
Hello again and thanks for asking again

All the things like poor confidence, inability or difficulty to speak english, difficulty to ask a question from faculty, difficulty in replying, shyness etc are occurring due to the Social Anxiety Disorder. To come out of these problems you have to take proper treatment.

For improving presentation skills, or to improve public speaking you should try to practice in front of mirror. Practice makes a man perfect. Try to practice again and again and speak in english. With time you will see improvement in presentation skills. If any friend or family member can give you time then try to speak in English with them. This will also improve the anxiety. With time your symptoms will reduce.

So please practice again and again, take proper treatment and all these symptoms will improve.

Thanks, Still have more doubts please ask again. Take care

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